患者,女性,因腹胀腹痛乏力1mo入院.B超示腹部大量游离液体.肠镜见末端回肠大小不等的5个阿弗他溃疡,溃疡之间黏膜正常.病理见黏膜及黏膜下大量炎症细胞浸润及非干酪样坏死性肉芽肿.诊断为“克罗恩病”.予以奥沙拉嗪口服,后患者腹痛、腹胀减轻,腹水消退.1mo后复查B超示腹水消失,肠镜仅见末端回肠一小溃疡,余未见异常. Patients, women, due to abdominal pain abdominal pain 1mo admission .B ultrasound showed a large number of free fluid in the abdomen.Gastroscopy see the size of the terminal ileum of 5 aphthous ulcer ulcer mucosa between the normal pathological mucosal and submucosal see a large number of inflammatory cells Infiltration and non-caseous necrotizing granuloma .Diagnosis of “Crohn’s disease.” Ossalazine orally, after the patient abdominal pain, abdominal distension, ascites .1mo review of B-ascites disappeared, colonoscopy only see the end Ileum a small ulcer, I did not see abnormalities.